Advanced Access in the Family Health Strategy: progress or setback for the nursing team?

TL;DR

This paper examines how the Advanced Access method was implemented in a Brazilian family health unit and its impact on nursing and healthcare delivery.

Contribution

The study provides new insights into the challenges and benefits of Advanced Access from the perspective of healthcare professionals in a rural setting.

Findings

Healthcare professionals reported increased problem-solving and satisfaction with Advanced Access.

However, care longitudinality and comprehensiveness were compromised due to team and population size issues.

Nursing was identified as a key factor in the success of the Advanced Access model.

Abstract

to analyze the implementation of the Advanced Access method in a Family Health Unit from the perspective of the team’s healthcare professionals.

qualitative research, using participant observation techniques and semi-structured interviews, carried out with 19 members of the multidisciplinary team of a Basic Health Unit in the countryside of São Paulo from February 2019 to March 2020.

the results indicate satisfaction and greater problem-solving, but with compromised longitudinality and comprehensiveness of care due to deficit in team size, population size, and care for chronic patients. The categories of analysis found were “The context of Advanced Access in the access dimensions” and “Nursing as a power for the Advanced Access model”.

the implementation of Advanced Access and its success must consider the history and context of Primary Health Care in each unit and in municipal policy.

analisar a implantação do método Acesso Avançado em Unidade de Saúde da Família na perspectiva dos profissionais de saúde da equipe.

pesquisa qualitativa, com utilização das técnicas de observação participante e entrevistas semiestruturadas, realizada com 19 membros da equipe multiprofissional de Unidade Básica de Saúde do interior de São Paulo de fevereiro de 2019 a março de 2020.

os resultados apontam para satisfação e maior resolutividade dos problemas, porém com comprometimento da longitudinalidade e integralidade do cuidado, devido ao déficit entre o tamanho da equipe, de sua população e cuidados com pacientes crônicos. As categorias de análise encontradas foram “O contexto do Acesso Avançado nas dimensões do acesso” e “A enfermagem como potência para o modelo de Acesso Avançado”.

a implantação do Acesso Avançado e seu sucesso devem considerar a história e o contexto da Atenção Primária à Saúde em cada unidade e na política municipal.